Department of Pediatrics.
Department of Pediatric Cardiology, Inova L. J. Murphy Children's Hospital, Falls Church, Virginia, USA.
Curr Opin Cardiol. 2022 Jan 1;37(1):86-90. doi: 10.1097/HCO.0000000000000928.
Studying the outcomes of congenital heart disease and their associations allows paediatric cardiologists and intensivists to improve the care and health equity of their patients. This review presents the most recent literature discussing the socioeconomic and racial disparities that pervade the outcomes of patients with congenital heart disease in every facet of treatment. The outcomes of congenital heart disease discussed are prenatal detection, maintenance of care, quality of life, neurodevelopment and mortality.
Historically, it has been documented that patients with congenital heart disease who are of racial and ethnic minorities disproportionately experience poor outcomes. Recently, the association between racial minorities and mortality has been traced to underlying socioeconomic disparities emphasizing that race and ethnicity are not independent determinants of health.
The effect of socioeconomic status on the outcomes of congenital heart disease is profound and reaches beyond the association with racial and ethnic minorities. Changes to address these disparities in outcomes must be made at the individual, institutional, community and system levels.
研究先天性心脏病的结局及其相关性，使儿科心脏病专家和重症监护医生能够改善患者的护理和健康公平。本综述介绍了最近的文献，讨论了在先天性心脏病患者治疗的各个方面普遍存在的社会经济和种族差异对其结局的影响。所讨论的先天性心脏病结局包括产前检出率、治疗维持率、生活质量、神经发育和死亡率。
从历史上看，已经有记录表明，少数民族和种族的先天性心脏病患者不成比例地经历不良结局。最近，将少数族裔与死亡率之间的关联追溯到潜在的社会经济差异，强调种族和民族并不是健康的独立决定因素。
社会经济地位对先天性心脏病结局的影响是深远的，并且超出了与少数民族的关联。必须在个人、机构、社区和系统层面上做出改变，以解决这些结局差异。
